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首页> 外文期刊>Journal of Surgical Oncology >A proposal for the timing of management of patients with melanoma presenting during pregnancy
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A proposal for the timing of management of patients with melanoma presenting during pregnancy

机译：孕期出现黑色素瘤患者的治疗时机建议

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摘要

The treatment of melanoma during and immediately after pregnancy poses a significant challenge to surgeons, oncologists, and patients alike. With the overall increase in incidence of melanoma in the United States and worldwide, it is likely that more surgeons will be faced with management decisions regarding pregnant patients with melanoma. We report on five patients who presented to the Yale Melanoma Unit with melanoma during their pregnancy. We propose the management option of resection of the primary tumor under local anesthesia, and postponing of the sentinel lymph node biopsy until after the birth of the child. The completion lymphadenectomy can be performed if these nodes are found to be harboring metastases. We further discuss treatment options and propose an algorithm for management of patients diagnosed with melanoma while pregnant.
机译：怀孕期间和之后立即治疗黑素瘤对外科医生，肿瘤科医生和患者均构成重大挑战。随着美国和世界范围内黑色素瘤发病率的总体上升，可能有更多的外科医师将面临有关孕妇患黑色素瘤的管理决定。我们报告了五名在怀孕期间出现在耶鲁黑素瘤病房并伴有黑色素瘤的患者。我们提出了在局部麻醉下切除原发肿瘤，将前哨淋巴结活检推迟到孩子出生后进行处理的管理选择。如果发现这些淋巴结有转移，则可以完成淋巴结清扫术。我们进一步讨论了治疗方案，并提出了一种在怀孕时诊断为黑色素瘤的患者的治疗方法。

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